Arizona Rates For Developmental Disabilities Services Below Provider Organization Costs

Since 2009, the Arizona Division of Developmental Disabilities (DDD) rates for Medicaid home- and community-based services (HCBS) have been lower than provider organization costs to deliver the services. For five service types, the reimbursement rate in state fiscal year 2015 (FY) was at 80% or less than the actual cost. The affected services are as follows:

In-home services—Of the five in-home services (attendant care, habilitation, homemaker, and respite daily or hourly), for all five the 2016 actual rate was below 80% of the 2016 benchmark. The rate gap ranged from the low 71.7% for hourly . . .